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CHAISE GROUP LLC NPI 1063962579


NPI Information

NPI: 1063962579
Provider Name: CHAISE GROUP, LLC

Doing Business As: IHC ASSOCIATES

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
10117 SE SUNNYSIDE RD # F1217
CLACKAMAS, OR
ZIP 97015
Phone: (503) 740-1971
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CHAISE GROUP, LLC is a mental health counselor in Clackamas, OR. CHAISE GROUP, LLC NPI is 1063962579. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ihc Associates.

The provider's business location address is:

10117 SE SUNNYSIDE RD # F1217
CLACKAMAS, OR
ZIP 97015-708
Phone: (503) 740-1971
Fax: (503) 771-2436

The provider's authorized official is Paul Gerard Krummenacker .
The authorized official title is Coo and has the following contact phone number (503) 913-3693.

The enumeration date for this NPI number is 10/7/2016 and was last updated on 4/17/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthL3197OREGONYes
2103TA0400XPsychologistAddiction (Substance Use Disorder)No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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